Effectiveness of physical therapy after total hip arthroplasty at the third stage of rehabilitation using a telemedicine program

Strukov R.N.; Koneva E.S.; Khaptagaev T.B.; Pesotskaya A.A.; Konev S.M.; Aganesov A.G.; Alexanyan M.M.; Zhumanova E.N.

doi:https://doi.org/10.17116/kurort20229904237

Strukov R.N.

Sechenov First Moscow State Medical University

ORCID: 0000-0001-8797-7604

Koneva E.S.

Center of Restorative Medicine of the MEDSI group;
Sechenov First Moscow State Medical University

ORCID: 0000-0002-9859-194X

Khaptagaev T.B.

Group of companies MEDSI

ORCID: 0000-0003-2879-7114

Pesotskaya A.A.

Sechenov First Moscow State Medical University;
Group of companies MEDSI

Konev S.M.

Sechenov First Moscow State Medical University;
Group of companies «MEDSI»

Aganesov A.G.

Petrovsky Russian Scientific Center of Surgery

Alexanyan M.M.

Petrovsky Russian Scientific Center of Surgery

Zhumanova E.N.

Center of gynecology, oncology, reproductive and aesthetic medicine in Clinical hospital No. 1 of JSC GC «Medsi», Krasnogorsk, Otradnoe;
Central state medical Academy of the presidential administration of the Russian Federation

Effectiveness of physical therapy after total hip arthroplasty at the third stage of rehabilitation using a telemedicine program

Authors:

Strukov R.N., Koneva E.S., Khaptagaev T.B., Pesotskaya A.A., Konev S.M., Aganesov A.G., Alexanyan M.M., Zhumanova E.N.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2022;99(4‑2): 37‑42

DOI: 10.17116/kurort20229904237

Read: 2194 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Strukov RN, Koneva ES, Khaptagaev TB, et al. . Effectiveness of physical therapy after total hip arthroplasty at the third stage of rehabilitation using a telemedicine program. Problems of Balneology, Physiotherapy and Exercise Therapy. 2022;99(4‑2):37‑42. (In Russ.)
https://doi.org/10.17116/kurort20229904237

Подписка 2026 Вопросы курортологии, физиотерапии и лечебной физической культуры (Problems of Balneology, Physiotherapy and Exercise Therapy)

Использование инфографики авторами научных работ

Close metadata

OBJECTIVE

To assess the quality of life and efficacy of telemedicine technologies for rehabilitation after total hip replacement.

MATERIAL AND METHODS

The study included 60 patients aged 40-75 years after total hip replacement. All patients were divided into two groups by simple randomization. All patients underwent a 7-day course of complex in-hospital postoperative rehabilitation. At discharge, patients of the main group received an access to telemedicine program for 3-month physical exercises (3 times a week for 30 minutes). In the control group, patients received routine recommendations for rehabilitation procedures and orthopedic recommendations.

RESULTS

A course of rehabilitation with telemedicine technologies after total hip replacement was accompanied by significant clinical effect according to EQ5D, SF-36 and STAI questionnaires.

CONCLUSION. T

Elemedicine technologies in postoperative rehabilitation after total hip replacement are accompanied by QoL improvement. It is an effective form of medical rehabilitation.

Keywords:

total hip replacement

medical rehabilitation

telemedicine

digital medicine

Authors:

Strukov R.N.

Sechenov First Moscow State Medical University

ORCID: 0000-0001-8797-7604

Koneva E.S.

Center of Restorative Medicine of the MEDSI group;
Sechenov First Moscow State Medical University

ORCID: 0000-0002-9859-194X

Khaptagaev T.B.

Group of companies MEDSI

ORCID: 0000-0003-2879-7114

Pesotskaya A.A.

Sechenov First Moscow State Medical University;
Group of companies MEDSI

Konev S.M.

Sechenov First Moscow State Medical University;
Group of companies «MEDSI»

Aganesov A.G.

Petrovsky Russian Scientific Center of Surgery

Alexanyan M.M.

Petrovsky Russian Scientific Center of Surgery

Zhumanova E.N.

Received:

06.06.2022

Accepted:

10.08.2022

Close metadata

References:

Nelson M, Bourke M, Crossley K, Russell T. Telerehabilitation is non-inferior to usual care following total hip replacement ‒ a randomized controlled non-inferiority trial. Physiotherapy. 2020;107:19-27. https://doi.org/10.1016/j.physio.2019.06.006
Fedonnikov AS, Andrianova EA, Erugina MV, Norkin IA. Rehabilitation after hip and knee joints replacement: several results of medical and sociological monitoring. Saratov Scientific Medical Journal. 2017;13(4):796-799. (In Russ.).
Petrunin IS. Effectivness of physical therapy as the main means of physical rehabilitation after hip replacement. International journal of applied sciences and technology. 2019;4-2:60-70. (In Russ.). https://doi.org/10.24411/2658-3569-2019-14046
Ratmanov MA, Benyan AS, Kuznetsova TV, Burkovsky AY, Barbasheva SS. Rehabilitation after total hip and knee replacement: problems and perspectives. Polytrauma. 2020;2:76-83. (In Russ.). https://doi.org/10.24411/1819-1495-2020-10023
Epifanov VA, Epifanov AV, Korchazhkina NB. Physical therapy: tutorial guide. Moscow: GEOTAR-Media; 2020.
Abuseva GR, Antipenko PV, Arkov VV, Badtieva VA, Baranovskij AYu, Baturina LA, Bogacheva EL, Bolotova NV, Bulan’kov YuI, Bykova OV, Vahova EL, Voloshina NI, Gerasimova GV, Demchenko EA, Didur MD, Drakon AK, Ezhov VV, Epifanov VA, Efimenko NV, Zhevago NA, Zaripova TN, Ivanova ES, Kajsinova AS, Karpova TN, Karu TJ, Klyuchareva SV, Knyazeva TA, Kovlen DV, Kolchev AI, Kondrina EF, Korchazhkina NB, Kotenko KV, Kurganskaya IG, Kurdybajlo SF, Kuyanceva LV, Lebedev VP, Lyubachev AV, Lobzin YuV, Lyan NA, Malikov AYa, Mahotkina NN, Medalieva RH, Merzlikin AV, Minenko IA, Miryutova NF, Mihajlov AV, Mihajlova AA, Novikova EV, Obrezan AG, Osipov YuS, Petrova MS, Pirogova SV, Podberezkina LA, Podgornaya OV, Popova OF, Portnov VV, Ruseva SV, Svincov AA, Skoromec AA, Stepanenko OV, Stranadko EF, Strukova NV, Subbotin FA, Tal’kovskij EM, Tokareva DV, Tolmachev SV, Ulashchik VS, Havinson VH, Han MA, Chervinskaya AV, Cherkashina IV, Shamrej VK, Shiman AG, Shoferova SD, Ponomarenko GN. Physical and rehabilitation medicine: national leadership. Interregional Scientific Society of Physical and Rehabilitation Medicine, Association of Medical Societies for Quality. Moscow: GEOTAR-Media; 2020. (In Russ.).
Epifanov VA, Korchazhkina NB. Medical and social rehabilitation of patients with various pathologies: In 2 parts. Moscow: GEOTAR-Media; 2019. (In Russ.).
Kotenko KV, Epifanov VA, Epifanov AV, Korchazhkina NB. Pain in the joints. Moscow: GEOTAR-Media; 2018. (In Russ.).
Epifanov AV, Achkasov EE, Epifanov VA. Medical rehabilitation: Textbook. Moscow: GEOTAR-Media; 2015. (In Russ.).
Buylova TV, Tsykunov MB, Kareva OV, Kochetova NV. Federal clinical recommendations. Rehabilitation with hip replacement in a specialized hospital department. 2014. (In Russ.).
Henderson KG, Wallis JA, Snowdon DA. Active physiotherapy interventions following total knee arthroplasty in the hospital and inpatient rehabilitation settings: a systematic review and meta-analysis. Physiotherapy. 2018;104(1):25-35. https://doi.org/10.1016/j.physio.2017.01.002
Ritter S, Dannenmaier J, Jankowiak S, Kaluscha R, Krischak G. Total Hip and Knee Arthroplasty ‒ Utilization of Postoperative Rehabilitation. Rehabilitation (Stuttg). 2018;57(4):248-255. https://doi.org/10.1055/s-0043-102135
Baulig C, Grams M, Röhrig B, Linck-Eleftheriadis S, Krummenauer F. Clinical outcome and cost effectiveness of inpatient rehabilitation after total hip and knee arthroplasty. A multi-centre cohort benchmarking study between nine rehabilitation departments in Rhineland-Palatinate (Western Germany). Eur J Phys Rehabil Med. 2015;51(6):803-813.
Müller E, Mittag O, Gülich M, Uhlmann A, Jäckel WH. Systematic literature analysis on therapies applied in rehabilitation of hip and knee arthroplasty: methods, results and challenges. Rehabilitation (Stuttg). 2009;48(2):62-72. https://doi.org/10.1055/s-0029-1202295
Tuncel T, Simon S, Peters KM. Flexible rehabilitation times after total hip and knee replacement. Orthopade. 2015;44(6):465-473. https://doi.org/10.1007/s00132-015-3089-9
Khan F, Ng L, Gonzalez S, Hale T, Turner-Stokes L. Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy. Cochrane Database Syst Rev. 2008;2008(2):CD004957. https://doi.org/10.1002/14651858.CD004957.pub3
Ponnusamy KE, Naseer Z, El Dafrawy MH, Okafor L, Alexander C, Sterling RS, Khanuja HS, Skolasky RL. Post-Discharge Care Duration, Charges, and Outcomes Among Medicare Patients After Primary Total Hip and Knee Arthroplasty. The Journal of Bone and Joint surgery. American Volume. 2017;99(11):e55. https://doi.org/10.2106/jbjs.16.00166
WHO Library Cataloguing-in-Publication Data. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth 2009. Geneva: WHO; 2009.
Vladzimirskij AV, Morozov SP, Simenyura SS. Telemedicina i COVID-19: ocenka kachestva telemedicinskih konsul’tacij, iniciirovannyh pacientami s simptomami ORVI. Vrach i informacionnye tekhnologii. 2020;2:52-63. (In Russ.). https://doi.org/10.37690/1811-0193-2020-2-52-63
Fisher C, Biehl E, Titmuss MP, Schwartz R, Gantha CS. Physical therapistled telehealth care navigation for arthroplasty patients: a retrospective case series. HSS J. 2019;15(3):226-233. https://doi.org/10.1007/s11420-019-09714-x
Eichler S, Rabe S, Salzwedel A, Müller S, Stoll J, Tilgner N, John M, Wegscheider K, Mayer F, Völler H; ReMove-It study group. Effectiveness of an interactive telerehabilitation system with home-based exercise training in patients after total hip or knee replacement: study protocol for a multicenter, superiority, no-blinded randomized controlled trial. Trials. 2017;18(1):438. https://doi.org/10.1186/s13063-017-2173-3
Jiang S, Xiang J, Gao X, Guo K, Liu B. The comparison of telerehabilitation and face-to-face rehabilitation after total knee arthroplasty: a systematic review and meta-analysis. J Telemed Telecare. 2018;24(4):257-262. https://doi.org/10.1177/1357633x16686748
Lyadov KV, Shapovalenko TV, Koneva ES. Experience of using remote rehabilitation of patients after endoprosthesis of lower limb joints: review of literature and results of own research. Herald of Restorative Medicine. 2015;5:72-75. (In Russ.).